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Complete this required info to start a web design request
Project Type
New Website
Update an Existing Website
Budget for Project
$5,000 or more
$2,500-$5,000
$1,000-$2,500
$1,000 or less
Deadline for Project
Fixed Deadline
Flexible Due Date
YOUR COMPANY DETAILS
Contact Name
Phone Number
Email Address
Address
City
State
Zip Code
Description of your Business
Do you have a Domain Name?
Do you need us handle hosting?
-- Please Select --
Yes, please
No, I have my own hosting
I do not have hosting but I will get my own
I am unsure
Do you need us to buy your domain?
-- Please Select --
Yes, please
No, I will do it myself
I am unsure
I want a website because I need:
To build brand awareness
A contact point for clients
To have a better image online
Sell my product/service online
To build online customer loyalty
To reach people in many languages
To promote my product/service
Other
I would like my new website to be:
A basic one-page site
A multi-page site
A redesign of a current website
Other
I want the following special features included in my website:
Image Gallery
Image Slider
Registration form
Video Streaming
Search panel
Newsletter / Email sign up forms
Uploads / downloads
Online Payment Gateway
Information / Request Forms
Blog Module
Demographics - Who is Your Target Audience
Kids & Teens
In their 20's
In their 30's
In their 40's
In their 50's
Senior Citizens
Demographic Details
Will you be providing final content?
-- Please Select --
I have all final content
I have some content
I will need help with content
Is There Anything Else You'd Like to tell us?
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